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DeTOP · Project

Next-Generation Prosthetic Hand With Neural Feedback for Below-Elbow Amputees

healthTestedTRL 6

Imagine losing your hand and getting a prosthetic that you can actually feel things with — like picking up a cup and knowing how hard you're squeezing. Most prosthetic hands today use 40-year-old technology with surface sensors that give zero touch feedback. DeTOP built a system where an implant is fused directly into the bone, creating a two-way communication channel between the brain and the artificial hand. Three patients received these implants in clinical trials, and could both control the hand naturally and receive sensory feedback through it.

By the numbers
3
Patients received osseointegrated implants in clinical trials
40+
Years since current prosthetic electrode technology was developed
10
Consortium partners across 4 countries
31
Total project deliverables produced
15
Demonstrable hardware and software deliverables
2
SME partners in the consortium
The business problem

What needed solving

Current prosthetic hands for below-elbow amputees rely on surface electrode technology that is over 40 years old, offering poor control and zero sensory feedback. This leads to high abandonment rates as users find the devices frustrating, unnatural, and functionally limited. The prosthetics industry needs a technology step-change that gives amputees actual feeling and intuitive control through their artificial hand.

The solution

What was built

The project built a complete osseointegrated prosthetic system including: sensorized hand prostheses (alpha and beta versions), mechatronic couplers (alpha and beta), short-stump and long-stump wrist designs, transient EMG hand/wrist control software (two releases), implantable electrode placement algorithms, and a miniaturized processing controller with RF link. All components were integrated and tested on 3 patients with surgical implants.

Audience

Who needs this

Prosthetic limb manufacturers (e.g., Ottobock, Ossur, Touch Bionics)Orthopedic implant companies expanding into neural interfacesRehabilitation hospitals and specialized limb-fitting centresMilitary and veterans' healthcare providersHealth insurance companies evaluating next-generation prosthetic coverage
Business applications

Who can put this to work

Medical Devices & Prosthetics
mid-size
Target: Prosthetic limb manufacturers

If you are a prosthetic device manufacturer still relying on surface electrode technology developed over 40 years ago — this project developed a complete osseointegrated prosthetic system with bidirectional neural control, tested on 3 patients in clinical settings. The system includes sensorized hand prostheses (alpha and beta versions), mechatronic couplers, and implantable electrode algorithms that could upgrade your product line from passive to sensory-enabled prosthetics.

Orthopedic Implants
enterprise
Target: Osseointegration implant companies

If you are an orthopedic implant company looking to expand beyond joint replacements — this project proved that bone-anchored implants can serve as both mechanical attachment and bidirectional communication interface for prosthetic limbs. The technology was validated across 3 patient implantations with dedicated short-stump and long-stump wrist designs, opening a new product category in your implant portfolio.

Rehabilitation Technology
any
Target: Rehabilitation centers and clinical service providers

If you are a rehabilitation provider struggling with patient rejection of conventional myoelectric prostheses — this project delivered a clinically tested alternative where 3 patients received osseointegrated implants enabling natural hand control and sensory feedback. The transient EMG control system went through two release cycles, meaning the control software is maturing toward clinical deployment readiness.

Frequently asked

Quick answers

What would it cost to license or integrate this prosthetic technology?

Based on available project data, specific licensing costs are not disclosed. The technology involves multiple components (implant, mechatronic coupler, sensorized hand, control algorithms) developed across 10 partners in 4 countries, so licensing would likely need to be negotiated with several parties. The coordinator is Scuola Superiore Sant'Anna in Italy.

Can this be manufactured at industrial scale?

The project produced both alpha and beta versions of the prosthetic hand and mechatronic coupler, showing iterative hardware development. However, the system was tested on only 3 patients in a clinical centre, indicating it is still in the clinical validation stage rather than mass production readiness. Scale-up would require regulatory approval (CE marking/MDR) and manufacturing partnerships.

What is the IP situation and who owns the patents?

Based on available project data, IP ownership details are not publicly disclosed. The consortium includes 10 partners (5 universities, 2 research organizations, 1 industry partner, and 2 other entities) across Italy, Sweden, Switzerland, and the UK. IP is likely shared among consortium members under the Horizon 2020 grant agreement terms.

What regulatory approvals would be needed?

As an implantable medical device with neural interfaces, this technology would require rigorous regulatory clearance — CE marking under the EU Medical Device Regulation (MDR) and FDA approval for US markets. The 3-patient clinical trial provides initial safety and efficacy data, but larger clinical studies would be needed before market authorization.

How long before this reaches the market?

The project ran from 2016 to 2021 and achieved clinical implantation in 3 patients with both alpha and beta prosthesis iterations. Based on the deliverable progression from alpha to beta versions, the hardware is maturing but would still need expanded clinical trials and regulatory approval. A realistic timeline to market would depend on a commercial partner committing to the regulatory pathway.

How does this integrate with existing prosthetic systems?

The system was designed specifically for transradial (below-elbow) amputees, which the project identifies as the largest population of upper limb amputees. It requires surgical osseointegration — a bone-anchored implant — so it is not a drop-in replacement for existing socket-based prosthetics. The mechatronic coupler connects the implant to the prosthetic hand, creating a self-contained system.

Is there ongoing support or follow-up development?

The project closed in August 2021. The consortium includes Scuola Superiore Sant'Anna (coordinator) and partners in Sweden, Switzerland, and the UK with strong track records in prosthetics research. Based on available project data, follow-up projects or commercial spin-offs are not confirmed but the research group has continued publishing in this area.

Consortium

Who built it

The DeTOP consortium brings together 10 partners from 4 countries (Italy, Sweden, Switzerland, UK), led by Scuola Superiore Sant'Anna — one of Europe's top robotics and bioengineering schools. The academic weight is heavy: 5 universities and 2 research organizations make up most of the team, with only 1 industry partner and 2 SMEs (10% industry ratio). For a business buyer, this means the technology is research-grade and scientifically robust, but commercialization will require a strong industry partner to drive manufacturing, regulatory approval, and market entry. The cross-country spread (notably Sweden for osseointegration expertise and Italy for robotics) gives the project credibility in both the implant and prosthetics domains.

How to reach the team

Scuola Superiore Sant'Anna, Pisa, Italy — look for the BioRobotics Institute or neuroengineering department leads

Next steps

Talk to the team behind this work.

Want an introduction to the DeTOP research team? SciTransfer can connect you with the right people and provide a detailed technology brief tailored to your product roadmap.

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